| NPI | 1538703723 |
|---|---|
| Other Name | KAEGEN R HIGGINBOTHAM |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV LBA0888) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2024-05-09 |